Search › Connecticut › 122300000X
Jong-Yun Park, D.D.S
NPI 1972868743 · on the registry since 2012
Practice
- Address
- 3043 Main St
Suite A
Glastonbury, CT 06033 - Phone
- (860) 430-4106
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut